CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: T J Samson Community Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$442

about 0.5× the $877 Medicare rate · typically $298–$898

modeled estimate · not a bill or quote

What this hospital charges insurers

$498

About the fair price

about $56 over the fair price · 0.6× Medicare

Medicare pays $877 Fair price $442 This hospital $498 Cash price $808 Hospital's list price $1,243

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

One of the lower prices — 7 of 8 other KY hospitals charge more for the same procedure.

Cheapest $435 Priciest $802

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $442 (about 0.5× the $877 Medicare rate). T J Samson Community Hospital charges insurers about $498, or about $808 in cash — about the fair price. Located in Glasgow, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,695	193%
Blue Cross Blue Shieldmajor	$115 - $1,854	13%
Aetnamajor	$305 - $542	35%
Humanamajor	$116 - $873	13%
CareSource	$150 - $1,310	17%
Devoted Health	$121 - $917	14%
Molina	$118 - $1,310	13%
WellCare	$115 - $873	13%
+ 2 smaller / regional plans	$115 - $1,854

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 808), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm T J Samson Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at T J Samson Community Hospital

Compare: Sleep study (overnight, in lab) at other KY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.